| NPI | 1366820961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW O OKEKE President 702-202-0099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: NV 20150212685-92) |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2015-05-26 |